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Global impacts of COVID-19 pandemic on sexual and reproductive health services : An international comparative study on primary care from the INTRePID Consortium

Peng, Kangning (author)
Univ Hong Kong, Li Ka Shing Fac Med, Sch Clin Med, Dept Family Med & Primary Care, Hong Kong, Peoples R China.;Univ Hong Kong, Li Ka Shing Fac Med, Sch Publ Hlth, Hong Kong, Peoples R China.
Tu, Karen (author)
Univ Toronto, Temerty Fac Med, Dept Family & Community Med, Toronto, ON, Canada.;Univ Hlth Network, Family Med North York Gen Hosp, Dept Res & Innovat, Toronto Western Family Hlth Team, Toronto, ON, Canada.;Univ Hlth Network, North York Gen Hosp, Dept Family Med, Toronto Western Family Hlth Team, Toronto, ON, Canada.
Li, Zhuo (author)
Univ Hong Kong, Shenzhen Hosp, Dept Family Med & Primary Care, Shenzhen, Peoples R China.
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Hallinan, Christine Mary (author)
Univ Melbourne, Fac Med Dent & Hlth Sci, Dept Gen Practice, Melbourne, Vic, Australia.
Laughlin, Adrian (author)
Univ Melbourne, Fac Med Dent & Hlth Sci, Dept Gen Practice, Melbourne, Vic, Australia.
Manski-Nankervis, Jo-Anne (author)
Univ Melbourne, Fac Med Dent & Hlth Sci, Dept Gen Practice, Melbourne, Vic, Australia.
Apajee, Jemisha (author)
Lapadula, Maria Carla (author)
Ortigoza, Angela (author)
Da Roza, Cecilia Clara (author)
Univ Hong Kong, Li Ka Shing Fac Med, Sch Clin Med, Dept Family Med & Primary Care, Hong Kong, Peoples R China.
Baste, Valborg (author)
Natl Ctr Emergency Primary Hlth Care, NORCE Norwegian Res Ctr, Bergen, Norway.
Flottorp, Signe (author)
Norwegian Inst Publ Hlth, Oslo, Norway.;Univ Oslo, Dept Gen Practice, Oslo, Norway.
Wensaas, Knut-Arne (author)
NORCE Norwegian Res Ctr AS, Res Unit Gen Practice, Bergen, Norway.
Goh, Lay Hoon (author)
Natl Univ Singapore, Yong Loo Lin Sch Med, Div Family Med, Singapore, Singapore.
Ling, Zheng Jye (author)
Natl Univ Singapore, Yong Loo Lin Sch Med, Div Family Med, Singapore, Singapore.
Kristiansson, Robert S. (author)
Uppsala universitet,Hälso- och sjukvårdsforskning
Gaona, Gabriela (author)
DARTNet Inst, Aurora, CO USA.
Pace, Wilson D. (author)
DARTNet Inst, Aurora, CO USA.
Westfall, John M. (author)
DARTNet Inst, Aurora, CO USA.
Ng, Amy Pui Pui (author)
Univ Hong Kong, Li Ka Shing Fac Med, Sch Clin Med, Dept Family Med & Primary Care, Hong Kong, Peoples R China.;Sch Clin Med, Dept Family Med & Primary Care, 3-F,161 Main St,Ap Lei Chau Clin, Hong Kong, Peoples R China.
Wong, William Chi-Wai (author)
Univ Hong Kong, Li Ka Shing Fac Med, Sch Clin Med, Dept Family Med & Primary Care, Hong Kong, Peoples R China.
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Univ Hong Kong, Li Ka Shing Fac Med, Sch Clin Med, Dept Family Med & Primary Care, Hong Kong, Peoples R China;Univ Hong Kong, Li Ka Shing Fac Med, Sch Publ Hlth, Hong Kong, Peoples R China. Univ Toronto, Temerty Fac Med, Dept Family & Community Med, Toronto, ON, Canada.;Univ Hlth Network, Family Med North York Gen Hosp, Dept Res & Innovat, Toronto Western Family Hlth Team, Toronto, ON, Canada.;Univ Hlth Network, North York Gen Hosp, Dept Family Med, Toronto Western Family Hlth Team, Toronto, ON, Canada. (creator_code:org_t)
John Wiley & Sons, 2024
2024
English.
In: British Journal of Obstetrics and Gynecology. - : John Wiley & Sons. - 1470-0328 .- 1471-0528. ; 131:4, s. 508-517
Related links:
https://doi.org/10.1...
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https://uu.diva-port... (primary) (Raw object)
https://urn.kb.se/re...
https://doi.org/10.1...
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  • Journal article (peer-reviewed)
Abstract Subject headings
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  • Objective: To understand how the COVID-19 pandemic has impacted sexual and reproductive health (SRH) visits.Design: An ecological study comparing SRH services volume in different countries before and after the onset of the COVID-19 pandemic.Setting: Seven countries from the INTernational ConsoRtium of Primary Care BIg Data Researchers (INTRePID) across four continents.Population: Over 3.8 million SRH visits to primary care physicians in Australia, China, Canada, Norway, Singapore, Sweden and the USA.Methods: Difference in average SRH monthly visits before and during the pandemic, with negative binomial regression modelling to compare predicted and observed number of visits during the pandemic for SRH visits.Main outcome measures: Monthly number of visits to primary care physicians from 2018 to 2021.Results: During the pandemic, the average volume of monthly SRH visits increased in Canada (15.6%, 99% CI 8.1-23.0%) where virtual care was pronounced. China, Singapore, Sweden and the USA experienced a decline (-56.5%, 99% CI -74.5 to -38.5%; -22.7%, 99% CI -38.8 to -6.5%; -19.4%, 99% CI -28.3 to -10.6%; and -22.7%, 99% CI -38.8 to -6.5%, respectively); while Australia and Norway showed insignificant changes (6.5%, 99% CI -0.7 to -13.8% and 1.7%, 99% CI -6.4 to -9.8%). The countries that maintained (Australia, Norway) or surpassed (Canada) pre-pandemic visit rates had the greatest use of virtual care.Conclusions: In-person SRH visits to primary care decreased during the pandemic. Virtual care seemed to counterbalance that decline. Although cervical cancer screening appeared insensitive to virtual care, strategies such as incorporating self-collected samples for HPV testing may provide a solution in a future pandemic.

Subject headings

MEDICIN OCH HÄLSOVETENSKAP  -- Hälsovetenskap -- Folkhälsovetenskap, global hälsa, socialmedicin och epidemiologi (hsv//swe)
MEDICAL AND HEALTH SCIENCES  -- Health Sciences -- Public Health, Global Health, Social Medicine and Epidemiology (hsv//eng)
MEDICIN OCH HÄLSOVETENSKAP  -- Hälsovetenskap -- Hälso- och sjukvårdsorganisation, hälsopolitik och hälsoekonomi (hsv//swe)
MEDICAL AND HEALTH SCIENCES  -- Health Sciences -- Health Care Service and Management, Health Policy and Services and Health Economy (hsv//eng)

Keyword

COVID-19 pandemic
sexual and reproductive health

Publication and Content Type

ref (subject category)
art (subject category)

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